A model for teaching psychotherapy theory through an integrative structure.

This article discusses a model for teaching psychotherapy theory through an integrative structure from the start of graduate students' training. This model articulates an ordering structure for the reputed 400+ so-called "theories" of psychotherapy. The rationale for such a structure highlights one dimension among several--that is, the recognition that a vast majority of mental health practitioners describe their orientation as eclectic or integrative. Professionals in training are encouraged to use this structure as an organizing principle to create the underpinnings for future professional development. The structure informs all aspects of a graduate-level course, including its syllabus, the textbooks selected, the reader, learning objectives, and tools for learning outcome assessment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Ratings of Therapist Dynamic Activities and Alliance Early and Late in Psychotherapy.

The present study examines the concurrent and predictive relationships between therapist psychodynamic-interpersonal activity and therapist-rated alliance. Ratings from 45 patient and therapist dyads engaged in short term psychodynamic psychotherapy from a point early (3rd or 4th session) and late (the session at which 90% of the treatment was completed) in treatment were used. The results suggest that therapists who have positive views of the alliance early in treatment also have positive views of the alliance later in treatment. Therapists who used psychodynamic-interpersonal activities early in treatment also made use of psychodynamic-interpersonal activities later in treatment. Moreover, the use of psychodynamic-interpersonal activities early in treatment was positively related to both global and specific aspects of therapist-rated alliance late in treatment. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The Therapeutic Process As a Predictor of Change in Patients' Important Relationships During Time-Limited Dynamic Psychotherapy.

Components of the therapeutic process have been shown to be moderately strong predictors of change in patients' global interpersonal functioning during therapy. The authors sought to extend this research by examining how the therapeutic process in time-limited dynamic psychotherapy related to change in patients' perceptions of a specific relationship as rated by the Structural Analysis of Social Behavior. Results showed that ratings of therapist warmth at Session 3 predicted increased warmth and decreased hostility in patient behavior at posttreatment. Therapist warmth at Session 16 was predictive of a decrease in submissive behavior by patients toward their significant other. The importance of the association between the therapeutic process and patients' important interpersonal relationships is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Introduction to special issue.

Recent years have witnessed the emergence of two powerful, and seemingly contradictory, visions of what most fundamentally causes change in psychotherapy. One of these visions emphasizes the primacy of therapist technique. According to this viewpoint, it is the specific methods used by the psychotherapist that account for, by far, most of the variance in treatment outcome. This viewpoint is seen most notably in what have been termed the empirically supported treatments (EST) and evidence-based practices (EBP) movements. The second vision instead focuses on the patient-therapist relationship and so-called therapist-offered relationship qualities as the sine qua non of therapeutic effectiveness. Advocates of this viewpoint underscore research on the importance of relational qualities such as the therapeutic working alliance (or cohesion in groups) and therapist-offered conditions. While acknowledging the value of both visions noted above, this special issue of Psychotherapy is based on the notion that what matters most in psychotherapeutic treatments is the interplay of the two, of techniques and the therapeutic relationship. Technical factors and relational factors are indelible elements in each and every psychotherapy encounter, and the articles in this special issue explore and seek to uncover why this is so. The articles, in addition, seek to describe the complex ways in which technique and relationship interact with one another in different treatments, at different points in treatment, and in conjunction with still other variables. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Group therapy for medically ill patients.

Reviews the book, Group therapy for medically ill patients edited by James L. Spira (see record 1997-97516-000). This book provides information on group psychotherapy for the management of acute and chronically ill medical patients. The text is divided into sections dealing with illness prevention, threats-to-life illnesses, and maladaptive health behaviors. According to the reviewer, this book lacks comprehensiveness and only its reference sections serve as a means to redirect the aggressive reader to a foundation and expansion for each topic. In addition, it may cover too little while attempting to cover a great deal. However, this text serves as a convenient, albeit incomplete reference and is a worthy addition to the clinician's library. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Group psychotherapy with addicted populations: An integration of twelve step and psychodynamic theory (2nd ed.).

Review of book: Group Psychotherapy with Addicted Populations: An Integration of Twelve Step and Psychodynamic Theory, (2nd ed.), by Philip J. Flores, 1997, Binghamton, NY: Haworth, 657 pp. Reviewed by Robert K. Conyne and Pamela C. Owens. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A transvaluation of psychotherapy: a reply to Hans Eysenck.

In an attempt to answer Eysenck's contention that "the figures fail to support the hypothesis that psychotherapy facilitates recovery from neurotic disorder," the author re-examines three vital questions: What is psychoneurosis? What is psychotherapy? and What is improvement or recovery? (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A case study in a behavioral analysis of psychotherapy.

A content analysis guided by the points of view of psychoanalytic theory and learning theory was made of the verbalizations from the case history of a 24-year-old male. The content categories utilized were concerned with motivation and defense. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The functional autonomy of psychotherapy.

Psychotherapy's initial function was to provide a service to troubled people who asked for help. Later evidence of its efficacy was unimpressive, but the method did not die out. "Psychotherapy had, it appeared, achieved functional autonomy." Various criticisms of the value of psychotherapy have been controverted. The efficacy of psychotherapy is not considered in the American Psychological Association ethical principles. Chapters on psychotherapy in the Annual Review of Psychology from 1955 to 1960 dismiss the question of efficacy. Experts are convinced that psychotherapy works. We "can be sure that the principle of functional autonomy will permit psychotherapy to survive long after it has outlived its usefulness as a personality laboratory." From Psyc Abstracts 36:02:2IE75A. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy as a learning process.

If one accepts the view that psychotherapy is a learning process, then greater efforts should be made to develop treatment methods derived from our knowledge of learning and motivation. The learning mechanisms of counterconditioning, extinction, discrimination, reward, punishment, and social imitation are discussed as well as the pertinent research in which these principles were applied to psychotherapy. Some of the more prevalent criticisms of the learning approach to psychotherapy are answered. From Psyc Abstracts 36:02:2IF43B. (PsycINFO Database Record (c) 2010 APA, all rights reserved)